inforMED
MalfunctionOLV

ALICE 6, LDXS HEADBOX

Received Apr 23, 2024 · Event occurred Apr 14, 2024

Report 2518422-2024-21857 · MDR key 19169162

Device

Generic name

Standard Polysomnograph With Electroencephalograph

Manufacturer

Respironics, Inc.

Model number

1063552

Catalog number

1063552

Product problems

  • Unintended Electrical Shock
  • Unintended Electrical Shock

Patient

NA · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

H3 OTHER TEXT : DEVICE NOT RETURNED TO MANUFACTURER.

Description of Event or Problem

THE MANUFACTURER RECEIVED INFORMATION ALLEGING THAT WHILE A CUSTOMER WAS PLUGGING IN AN ALICE 6 HEAD BOX, THEY RECEIVED A SHOCK. THERE WAS NO HARM OR INJURY REPORTED. THE DEVICE HAS NOT BEEN RETURNED TO THE MANUFACTURER. AT THIS TIME, WE ARE UNABLE TO CONFIRM THE ALLEGED MALFUNCTION. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative

THE MANUFACTURER PREVIOUSLY REPORTED THE MANUFACTURER RECEIVED INFORMATION ALLEGING THAT WHILE A CUSTOMER WAS PLUGGING IN AN ALICE 6 HEAD BOX, THEY RECEIVED A SHOCK. THERE WAS NO HARM OR INJURY REPORTED. THE DEVICE WAS RETURNED TO A THIRD-PARTY SERVICE CENTER FOR EVALUATION. DURING THE DEVICE EVALUATION, THE DEVICE MAIN BOARD WAS FOUND TO BE DAMAGED. ADDITIONALLY, THE DEVICE'S FRONT COVER WAS FOUND TO BE DAMAGED. THE MAIN BOARD WAS REPLACED, THE TOP ENCLOSURE ASSEMBLY WAS REPLACED AND THE DEVICE WAS CLEANED.